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Organization
THE HOLLYWOOD THERAPIST
Active
Organization
THE HOLLYWOOD THERAPIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE HUGH HAUCK LMFT (LICENSED MARRIAGE FAMILY THERAPIST)
(619) 309-8291
Entity
Organization
Contact information
Practice address
7104 FRANKLIN AVE APT 12, WEST HOLLYWOOD, CA 90046-3023
(619) 309-8291
Mailing address
7104 FRANKLIN AVE APT 12, WEST HOLLYWOOD, CA 90046-3023
(619) 309-8291
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
54004
CA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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